早期举重并没有与脚骨折的短期并发症有关
Warren G Haralson1, Clayton Brinkley1, Jacob Cebulko1
1School of Medicine, University of Missouri, 1 Hospital Dr, Columbia, MO 65212, United States.
概括
这项研究发现,手术治疗的脚骨折并发症率没有显著差异,无论患者何时开始举重. 早期,中期或延迟的举重表现出类似的结局,用于脚骨折恢复.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 肌肉骨研究 研究
背景情况:
- 脚骨折是常见的伤害,需要手术干预.
- 在骨骨折的开放降低内部固定 (ORIF) 后,术后承重协议有所不同.
- 为了最大限度地减少并发症,举重的最佳时间尚不清楚.
研究的目的:
- 为了比较患有孤立脚骨折的成年患者的术后并发症率.
- 根据ORIF后的早期,中期或延迟的重量承载 (WB) 来评估并发症的差异.
- 评估WB时间对重新操作率和轻微并发症的影响.
主要方法:
- 对233名患有单独或复杂脚骨折的成年患者进行了回顾性队列研究,接受ORIF (2020-2022) 治疗.
- 患者被分为早期体重承受 (EWB:<3周),中期体重承受 (IWB:3-6周) 和延迟体重承受 (DWB:>6周).
- 需要重新手术的并发症和轻微的并发症是主要的结果指标.
主要成果:
- 在WB组之间没有观察到总体并发症率 (14.86%的EWB对比11.67%的IWB对比20.20%的DWB; p=0.3396) 的统计学上显著差异.
- 重新运营率也没有显示西银集团之间的显著差异 (9.46%的EWB对比3.33%的IWB对比9.09%的DWB;p=0.3337).
- 复杂骨折没有显示明显更高的并发症率与孤立的骨骨折相比.
结论:
- 脚骨折的ORIF后的重量轴承 (早期,中期或延迟) 的时间不会显著影响术后并发症率.
- 目前的研究结果表明,在经过手术治疗的脚骨折中,术后承重协议的灵活性.
- 进一步的前性研究可能是有必要的,以证实这些发现,并探索患者特定的因素.
相关概念视频
01:27Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K
01:26Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160
01:10Bones of the Lower Limb: Tibia and Fibula
2.7K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
2.7K